Common phenotypic and genotypic antimicrobial resistance patterns found in a case study of multiresistant E. coli

Liliana Raquel Leite Martins1, Susana Maria Rocha Pina, Romeo Luís Rocha Simões

  • 1Institute for the Biomedical Sciences Abel Salazar, UP VET Small Animal Veterinary Clinic, Porto University, Portugal. lmartins@icbas.up.pt

Insights

This study found that Escherichia coli (E. coli) strains with antimicrobial resistance genes spread between pets, humans, and household surfaces. Close contact and contaminated objects facilitate this within-household gene diffusion.

Area of Science:

  • Microbiology
  • Public Health
  • Veterinary Medicine

Background:

  • Antimicrobial resistance (AMR) is a growing global health concern.
  • Escherichia coli (E. coli) is a common bacterium found in humans and animals, and can be a vector for antimicrobial resistance genes.
  • Understanding the transmission dynamics of AMR within households is crucial for effective control strategies.

Purpose of the Study:

  • To characterize antimicrobial resistance (AMR) profiles of E. coli strains from cohabitant pets, humans, and household environments.
  • To investigate the concurrent colonization by E. coli carrying specific AMR genes among pets, owners, and home surfaces.
  • To assess the role of household surfaces and objects in the diffusion of AMR genes within a multi-host environment.

Main Methods:

  • Isolation and characterization of 124 E. coli strains from various sources including pet urine and mouth, human samples, and household surfaces (laundry floor, refrigerator door, food bowl).
  • Phenotypic analysis of antimicrobial resistance patterns.
  • Identification of shared resistance patterns and genes across different hosts and environmental sites within the household.

Main Results:

  • A significant percentage of the isolated E. coli strains exhibited multidrug resistance (MDR).
  • Identical MDR patterns were detected in E. coli from a dog's urine and mouth, laundry floor, refrigerator door, and food bowl.
  • Multiresistant E. coli strains and specific resistance genes were repeatedly found across different household members and surfaces.

Conclusions:

  • Close contact between human and animal cohabitants, along with contact with contaminated household surfaces and objects, likely facilitates the within-household spread of antimicrobial-resistant E. coli.
  • Household environments serve as reservoirs and transmission routes for AMR genes between pets and humans.
  • Findings highlight the importance of integrated surveillance and control measures targeting both human and animal populations, as well as the domestic environment, to combat AMR.

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